Senior Centers key provider in RI’s Long-Term Care Continuum 

Published in RINewsToday on September 19, 2022

Over nine years ago, this columnist penned a commentary, “Senior Centers, Not Just a Place to Play Bingo,” that appeared in the Pawtucket Times and Woonsocket Call.  As we celebrate National Senior Centers Month in September, today’s Senior Centers continue to take a wholistic view of providing programs and services to their older participants. They are providing programming and services that truly takes into account the body, mind and social needs of their members, aged 55 and up. As I stated years ago, “senior centers are not a place that our parents once visited years ago to just knit or play bingo.” That continues to be true, and even more so, today. 

“Every day, senior centers bring our grandparents, parents, older neighbors, and friends together to build community and share trusted services and information to help all age well,” said Dianne Stone, NCOA’s Associate Director of Network Development and Engagement in a statement announcing the September celebration of the nation’s Senior Centers. “Research shows that compared with their peers, people who attend senior centers have higher levels of health, social interaction, and life satisfaction,” she says.

“There’s never been a better time to come home to your senior center,” Stone said. “Come see everything your local center has to offer,” adds Stone.

Senior Centers continue to be a catalyst for mobilizing the creativity, energy, vitality, and commitment of the older participants, says Mayor Donald R. Grebien in a proclamation he released on September 1, recognizing September as Senior Citizens Month. The City’s Leon Mathieu Senior Center, like the 35 senior centers around the state, empower their older participants to take control of their own health and well-being and the health of their fellow participants, says the mayor. 

Established in the 1980s by the U.S. Administration on Aging, the centers programming has slowly evolved to encompass activities that encourage healthy aging and wellness. Senior Centers across the Ocean State offer activities and programs, case management and social services and public benefits counseling, also social and cultural programming, social and recreational opportunities, even offering a place to eat a nutritional meal.

Many of the Senior Centers have their own vans and drivers who transport seniors to and from their homes for shopping, social cultural activities, to medical appointments and into each Senior Center’s meal sites.

Even during the early days of the COVID-19 pandemic, Senior Centers responded by connecting with their members by making health checks thru telephone calls, offering programs and services via internet and social media sites, and delivering meals to the homebound seniors. During the ongoing pandemic, Senior Centers continue to provide countless hours of support to older adults, and have become integral to health care delivery throughout Rhode Island by providing COVID-19 guidance home testing kits and vaccine education to their participants.

At Pawtucket’s Leon Mathieu Senior Center, health screenings, specifically taking blood pressure readings, are performed by nursing students from Rhode Island College and URI Pharmacy students discuss the importance of being compliant with taking prescribed medications, too. Proper nutritional counseling is also offered. 

Starting in church basements, many as small social clubs, the passage of the Older Americans Act in 1965, propelled Senior Centers into a key provider role in the nation’s long term care continuum of care.

Today, more than 10,000 Senior Centers serve one million older adults every day. In Rhode Island, 35 agencies, serving over 200,000 persons, are geographically spread out from Westerly to Woonsocket and from Foster to Tiverton. Some are managed by municipalities, others by nonprofit groups. While catering to serving the state’s burgeoning elderly population, some have expanded their mission to offer programs for young and middle-aged adults.

According to the state’s Office of Healthy Aging, Rhode Island’s older adult population is growing rapidly. Over 31 percent of Rhode Islanders are 55 or older versus 28 percent nationally, and our state has the highest proportion in the United States of those 85 or older. 

With the graying of Rhode Island, the state’s Senior Centers are offering programming and services to attract the state’s aging baby boomers by focusing on health and wellness, recreation, and lifelong learning.  Yes, Senior Centers are a key provider in the state’s long-term care continuum to keep aging boomers, healthy, independent and allow them to age in place in the community.

Providing resources for local senior programs should be a shared responsibility of federal, state, and local governments, says Maureen Maigret,  chair of the Long-Term Care Coordinating Council’s Aging in Community Subcommittee and a Board Member of Senior Agenda Coalition of Rhode Island (SACRI).  “It was frustrating to see drastic state cuts to these programs in the mid 1990’s and we were pleased funding was restored. Governor McKee put $200,000 in the current budget, with the idea this was a step toward to providing funding equal to ten dollars per person aged 65-plus in each community,” she notes. 

“Aging advocates such as the SACRI will be pushing to get to the ten dollar level,” says Maigret. As state funding increases, Maigret calls on local communities to continue to provide funding and resources to their local senior centers to meet projected population growth of their older adult residents.  

According to Maigret, research has shown their importance in slowing or preventing functional decline and promoting a good quality of life.

Today’s Senior Centers are not your parent’s bingo hall, as some still mistakenly believe. Why not visit the Leon Mathieu Senior Center or your local Senior Center during National Senior Center Month and you may even be surprised with what you find? Call the Leon Mathieu Senior Center for more details about its offered programs and services at 401/728-7582. Or go to https://pawtucketri.com/senior-center.

To find a Senior Center in your community go to https://agefriendlyri.org/tools-resources/senior-centers-rhode-island/./Herb Weiss

 

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Aging in Place in Your Rhode Island Community

Published in Pawtucket Times on May 2, 2022

As the graying of the nation’s population continues, older persons are choosing to live out their remaining years remaining in their communities in their homes, whenever possible. A new just-released study of adults age 50 and older from the AP-NORC Center for Public Research and the SCAN Foundation, finds a majority of older persons would like to age in place and are confident they can access needed services that will allow them to stay at home in their community for as long as possible.  

Gathering Thoughts About Aging in Place

According to this new national study released last week, two-thirds of the respondents think their communities meet their needs for accessing services like health care, grocery stores and social opportunities. The researchers found that all types of health care services are widely perceived as easy to access in their communities, and most feel that local health care understand their needs (79%) and take their concerns seriously (79%).

But, a closer examination of the small proportion of older Americans (Blacks and Hispanics) who feel less prepared and less supported in their community raises concerns about equity in access to the resources necessary to age in place.

However, the study reported that a few respondents say they had a hard time accessing needed services because of communication obstacles like a language barrier (11%), cultural barrier (8%) or age gap (8%); issues with affordability (15%); or issues of respect for their religious (4%) or cultural (3%) background. 

Those in urban areas—and suburban areas especially—describe their communities as having more supports for aging in place than those in rural areas. Older adults in suburban areas see their communities as doing the best job with meeting needs for healthy food, internet access, and the kinds of foods they want to eat. Suburban areas are also seen as better than rural areas in particular at meeting needs for health care and social activities. Older rural Americans are less likely than those living elsewhere to use a range of services simply because they aren’t available in their area. They are less likely to feel that community services are easy to get and designed for people their age than those in urban or suburban communities as well. And they are less likely to think a variety of health care services would be easy for them to access.

Income disparities are also associated with access to critical aging services. Those with incomes of $50,000 and below are less likely than those earning more to have access to services that are in their language (73% vs. 82%), close by or easy to get to (58% vs. 65%), respectful of their religious beliefs (57% vs. 65%), or designed for people their age (53% vs. 63%). When it comes to medical services, they are also less likely to have easy access to dental care, physical therapy, pharmacies, nursing homes, and urgent care than those earning more.

Additionally, those age 65 and older generally feel more prepared and report better access to important community services than those ages 50-64.

Aging in Place in the Ocean State 

For older adults aging in place, in their own homes, is by far the preferred model, says Mary Lou Moran, Director, Pawtucket Division of Senior Services at the Leon Mathieu Senior Center. “In fact, the theme of this year’s federal observance of Older Americans Month “Age My Way” focuses specifically on this very topic. The coordination, accessibility, and connection to services and programs is critical to the successful delivery of services and is where much work needs to be done,” she says. 

Moran says that senior centers located in communities throughout the state deliver needed information and assistance to older adults on accessing the needed  services to age in place.  Social isolation, access to transportation, food and housing insecurity, economic stability, and connectivity to services, are obstacles to enabling a person to stay in the community in their homes, adds Moran.

Over the years, Rhode Island’s inadequate Medicaid rates have become major obstacles to allowing a person to stay at home. However, recent state legislation, H 7616, to recreate a Department of Healthy Aging, spearheaded by Reps Carson, Ruggiero, McLaughlin, Contvriend, Speakman, Ajello and Potter, addresses some of the challenges that service providers are facing when trying to assist individuals to age in place. Moran adds, as the number of older adults continues to grow exponentially, the time has come to fully put the needs of our elders in the fore front to enable them to age with choice, dignity and respect.

According to Maureen Maigret, policy consultant and Chair of the Aging in Community Subcommittee of the Long-Term Care Coordinating Council, “Rhode Island is fortunate to have a number of government-funded programs that help older adults to age in place.” These programs include Meals on Wheels home-delivered meals program; Medicaid home and community services including home care, adult day services; assisted living and self-directed programs; Caregiver respite and support services; Home Modification grants to help make homes accessible; and elder transportation assistance for those age 60+ for medical trips, to get to adult day.  She also mentioned the Office of Healthy Aging’s Home Cost Share program for persons age 65+ and persons underage 65 with dementia who are not Medicaid eligible with income up to 250% of the federal poverty level and the wonderful programs offered at the state’s senior centers.

However, Maigret says that for some of these services such as home care there may be wait lists due to worker shortages. (People can find out about these programs or to find out what benefits they may be entitled to by calling the POINT at 401-462-4444).

There are also private services available for almost any service needed to help people age in place if they have the financial means to pay for them,” says Maigret.  

The National Village to Village Movement Comes to Rhode Island

While some of these volunteer programs in RI may offer some type of services such as transportation, a relatively new initiative has come to Rhode Island. “The Village Common of Rhode Island (TVC) provides a variety of supports through the efforts of almost 200 trained and vetted volunteers,” says Maigret. 

Maigret says that the goal of TVC is to help older persons to stay in their own homes and connected and engaged with their community. “This “neighbor helping neighbor” model started 20 years ago in Beacon Hill Boston and now there are 300 nonprofit “villages” operating across the country. TVC supports include transportation, running errands, home visits and telephone assurance, minor home repairs and light yard work, assistance with technology, and a virtual caregiver support program. A robust weekly calendar offers virtual events, and a monthly newsletter keeps members and guests informed. All this is done with a lean 1.5 person staff, a working board of directors and almost 200 volunteers,” she notes. 

“I had heard about the “village” model some years back and supported efforts to start a “village” in Rhode Island, she says. “It amazes me that a small band of committed volunteers were able to put all the pieces in place to operationalize a “village” and to see what has been accomplished. There are now active “villages” in Providence, Barrington, Edgewood/Cranston and Westerly with almost 300 members and more “villages” are under development. One of the priority goals of the Board is to reach out to underserved neighborhoods in our urban and rural areas to listen to people and find out what is important to them and what type of “village” program might work in their area,” she says. 

“We know that transportation is a huge issue for folks living in our rural areas and that is a huge concern. And, based on findings of the 2021 RI Life Index: Older Adults in Rhode Island(from RI Blue Cross Blue Shield//Brown University School of Public Health), we know that older persons of color living in our core cities have lower perceptions of community life, access to healthcare and experience lower food security and access to technology,” adds Maigret.  

“Research on the fairly new “village” programs shows promise in fostering feelings of being connected to others and suggest older women living alone with some disability most likely to experience improved health, mobility and quality of life (https://pubmed.ncbi.nlm.nih.gov/28509628/.),” says Maigret, noting that this is an important finding as Rhode Island has such a high portion of older adults living alone.

TVC President Anne Connor (74) says she has been a member and volunteer since 2015. “That we are volunteer supported is noteworthy and having an Executive Director, Caroline Gangji, (formerly acting Executive Director at Age Friendly RI), improves our ability to serve our members”, says the retired librarian and paralegal.

As TVC founder Cy O’Neil once said, ” …you don’t create a fire house when the house is burning.”  TVC is more than services – it is the relationships we build that are key to our success, says Connor.  

For details about The Village Common Rhode Island, go to https://www.villagecommonri.org/.

For specifics programs and services offered by the Rhode Island Office of Healthy, go to  https://oha.ri.gov/.  

Senior Centers, Not Just a Place to Play Bingo

Published February 1, 2013, Pawtucket Times

Today’s senior centers are not the places our parents once visited to knit or play bingo. Established in the 1980s by the U.S. Administration on Aging, the centers programming has slowly evolved to encompass activities that encourage healthy aging and wellness, says Mary Lou Moran, who oversees Pawtucket’s Leon A. Mathieu Senior Center. Established in 1980, last year over 15,000 clients took advantage of programs and social services offered, or to eat a nutritious meal, she notes.

At Rhode Island’s 47 Senior Centers, “We are now looking at the whole person, the body, mind and spirit,” notes Moran, a former Program Coordinator who now serves as Director of Senior Services. “It is very important that we encourage individuals to live independently and safely in their communities.”

At the Leon Mathieu Senior Center, health screenings, specifically taking blood pressure readings, are performed by nursing students from Rhode Island College and URI Pharmacy students, notes Moran. “Proper nutritional counseling is a very big deal, too,” she adds, noting that a nutritionist is available to provide individual counseling.

Through the Eyes of Clients

Linda Slade discovered the Leon Mathieu Senior Center after retiring from working in retail for over 38 years. Initially, attending a few exercise activities in October 2010, she was forced to stop attending, taking care of her terminally ill husband. After his passing she came back four months later “to just be with people again.”

Slade, initially had misconceptions about Pawtucket’s Senior Center. “I was a young sixty-two and not really sure what to expect,” she said, expecting to be surrounded by very old people. That first visit totally changed her mind, seeing younger people. Besides knitting, playing cards or cribbage, the Pawtucket resident participates regularly in arthritis class, stretch exercises and Tai Chi.

Before attending the Senior Center’s exercise classes, Slade’s son had given her a gym membership. “Basically I was intimated to go because of the younger people,” she says. Now Slade is more comfortable working up a sweat with her Senior Center exercise companions.

According to Slade, the City’s Senior Center offers something [activities] for everyone, her involvement even gave her an opportunity to develop new social bonds. “I had a work family that I truly adored, but now I adore my Senior Center family, too” she said. Just like the fictional bar, Cheers, Slade knows everyone’s name in all her activity groups.

“Going bonkers” and feeling a need to get out of her home propelled Nancy Connor, 79, a former Secretary to the CEO of Citizens bank, to the doors of the Leon Mathieu Senior Center. Aortic valve surgery forced the Pawtucket resident into an early retirement in her early seventies from a job she loved and found intellectually challenging.

Once the Pawtucket widow, who lives with her companion, Mave, a 60 pound Royal Standard Poodle, found the Leon Mathieu Senior Center in the Yellow Page Directory, she went to see what it was all about. She’s been going daily ever since.

The Grand Dame of the Literary Circle

Like Slade, before attending, Connor had a misconception about Senior Centers, thinking that she would see “a bunch of old people doddering along.” Now the enthusiastic participant has found out that this was not the case.

According to Connor, not as many men come into the Center. “We really do outnumber them,” she quips, noting that they “usually appear out of thin air when there is a high-low jack game.

Walking with a cane keeps Connor from exercising but she hopes to some day explore the Chinese practice of Tai Chi. However, she gets activity involved in other pursuits. Never published, she took up writing, participating in the Book and Drama Clubs, and now considers herself the “Grandma Moses” of the Senior Center’s literary circle.

Meanwhile, Connor and a few other older participants meet monthly with third year Brown Medical students to teach them the art of speaking to the “geriatric crowd,” she says. At Friday coffee hours, invited guests come into the Senior Center’s large activity room to entertain, teach or educate, she says. If a cancellation happens, she’s drafted to play piano for the crowd in the activity room.

Like in Senior Centers across the Ocean State, every day Connor can eat lunch, only paying a minimal fee. “It is wonderful stuff, from soup to nuts,” she remarks.

A Medical Model

Jill Anderson, Executive Director of Senior Services Inc., a private nonprofit corporation established in 1975, manages the Woonsocket Senior Center. Each day over 100 clients (around 500 annually) participate in exercise activities and health and wellness programs at her site. A day care program in her building handles 35 people who have limitations in their daily living.

Reflecting its medical model philosophy, the Woonsocket Senior Center’s registered nurse, who also serves as the Wellness Director, counsels people on how to change behaviors to maintain better health. Health screening, including blood pressure checks, diabetic and bone density testing are also part of a Wellness program.

About 20 retired volunteers regularly help out each day serving lunch and assisting staff, notes Anderson. “These individuals create a friendly atmosphere for the new clients, making sure they don’t sit by themselves.”

Although many of Rhode Island’s Senior Centers have an annual membership fee or charge registration fees to participate in activities, Anderson’s nonprofit does not. “We just ask people to make a voluntary weekly contribution of one dollar to fill the gap that fundraising, grants and memorials don’t cover.”

Like in many other Senior Centers, computer courses in a computer lab is offered, says Anderson. “We would like to do more with computers, maybe we can some day offer both Intermediate and Advanced computer classes, too,” she adds, because the older clients are interested in embracing new technology, like I-pads, and smart phones.

“A Benefits Councilor also is on site to identify benefits and programs our clients are entitled to receive, states Anderson, this ultimately helping to lower the cost of supplemental Medicare plans, and make other economies.

Pumping Weights

Robert Rock, Director East Providence Senior Center, on Waterman Ave., provides all the typical exercise programs that Senior Centers offer. But through a $96,000 grant received from the U.S. Administration on Aging, his Senior Center now houses the only fitness center in the Ocean State.

“The [fitness] program promotes attitude change and development of appropriate exercise skills and reduces the risks of a sedentary lifestyle. It also improves the quality of life for our senior population,” Rock says.

According to Rock, a client can gain privileges to using the fitness room for a very minimal fee of $40 for single membership, $60 for couples. Equipment includes three treadmills, two recumbent bikes, an elliptical stepper, hand weights and six dual weight machines. Other features include a matted floor, mirrored walls, water, stereo, and cable TV.

Rock notes that 90 percent of the 258 people, mostly in their 60s, are taking advantage of this fitness center room, an attachment to the Senior Center. “They come to work out and then leave,” he says, noting that the oldest, a 91-year old man comes to work out three days a week.

Rock believes that once aging baby boomers come to us for the fitness room, they will choose to come back for other programs and services offered by his Senior Center.

Walking is also an important exercise, too, says Rock. Many clients take advantage of using the Senior Center’s half mile walking track.

Finally, Rock adds that the East Providence Senior Center is also a Rhode Island state-certified site for diabetes education. Both classes and individual counseling are offered.

In conclusion…

Starting in church basements, many as small social clubs, the passage of the Older Americans Act in 1965, propelled Senior Centers into a key provider in the nation’s long term care continuum of care.

Today, 11,000 senior centers serve one million older adults every day. In Rhode Island, 47 agencies, serving 208,000 persons, are geographically spread out from Westerly to Woonsocket and from Foster to Tiverton. Some are managed by municipalities, others by nonprofit groups. While catering to serving the state’s burgeoning elderly population, some have expanded their mission to offer programs for young and middle age adults.

While the average age is age 75, many of Rhode Island’s Senior Centers are adjusting their programming and services to attract the state’s aging baby boomers by focusing on health and wellness, recreation and life long learning.

According to Rhode Island’s Division of Elderly
Affairs (DEA), over 14 percent of Rhode Island’s population is age 65 and over. By 2030, its projected to grow to over 21 percent. Rhode Island’s senior centers are a key provider to keep the aging baby boomers, healthy, independent and at home.

Yes, today’s Senior Centers are not your parent’s bingo hall, as some mistakenly believe. Why not visit your local senior center you may even be surprised with what you find. Call DEA for a complete listing of the state’s senior centers at 401/462-3000.

Herb Weiss, LRI ’12, is a freelance writer covering aging, health care and medical issues. He can be contacted at hweissri@aol.com.